Monofocal motor neuropathy: Improvement with intravenous immunoglobulin

Muscle Nerve. 2002 May;25(5):674-678. doi: 10.1002/mus.10088.

Abstract

Multifocal motor neuropathy (MMN) is a chronic, immune-mediate, peripheral myelinopathy. Inherent in its name, MMN implies involvement of two or more motor nerves. We report three patients with weakness and partial motor conduction block restricted to a single nerve and localized to sites that are not at risk for entrapment or compression injury. None of the patients had sensory involvement and all showed a favorable response to intravenous immunoglobulin therapy. Based on these observations and reports of three additional patients, we believe that monofocal motor neuropathy is a partial form of MMN and should be treated as such.

Publication types

  • Case Reports

MeSH terms

  • Action Potentials
  • Adult
  • Electrophysiology
  • Female
  • Foot
  • Hand
  • Humans
  • Immunoglobulins, Intravenous*
  • Male
  • Motor Neuron Disease / complications
  • Motor Neuron Disease / drug therapy*
  • Motor Neuron Disease / physiopathology
  • Motor Neurons / physiology
  • Muscle Weakness / etiology
  • Muscle, Skeletal / physiopathology
  • Neural Conduction
  • Reaction Time
  • Treatment Outcome

Substances

  • Immunoglobulins, Intravenous